Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.22 / $3,670.05 / $14,464.32	Facility		$561.22	$3,670.05	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.95 / $1,432.95 / $2,849.82	Professional		$335.95	$1,432.95	$2,849.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,010.80 / $8,490.57 / $17,279.07	Facility		$2,010.80	$8,490.57	$17,279.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $568.69 / $2,692.36 / $10,827.36	Professional		$568.69	$2,692.36	$10,827.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,763.00 / $3,763.00 / $3,763.00	Facility		$3,763.00	$3,763.00	$3,763.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.63 / $1,092.31 / $4,485.35	Professional		$540.63	$1,092.31	$4,485.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $551.54 / $2,317.75 / $4,701.84	Facility		$551.54	$2,317.75	$4,701.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $540.77 / $1,843.95 / $4,365.13	Professional		$540.77	$1,843.95	$4,365.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $372.73 / $2,283.30 / $3,783.71	Professional		$372.73	$2,283.30	$3,783.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $810.54 / $2,810.44 / $3,190.54	Facility		$810.54	$2,810.44	$3,190.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,010.80 / $2,010.80 / $2,095.58	Facility		$2,010.80	$2,010.80	$2,095.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.87 / $1,121.91 / $3,685.88	Professional		$579.87	$1,121.91	$3,685.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,484.59 / $9,027.82 / $17,279.07	Facility		$6,484.59	$9,027.82	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $568.69 / $1,035.74 / $3,405.60	Professional		$568.69	$1,035.74	$3,405.60
United Facility/Professional Facility Modifier Low / Median / High Price $7,198.00 / $11,257.27 / $18,347.95	Facility		$7,198.00	$11,257.27	$18,347.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,938.87 / $2,764.84 / $4,360.21	Professional		$1,938.87	$2,764.84	$4,360.21